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加味清热解毒方联合三维适形放疗治疗中晚期卵巢癌的疗效及其对血清癌胚抗原与糖类抗原 125 水平的影响

英文原题:Efficacy of Modified Qingre Jiedu Decoction Combined with Three-Dimensional Conformal Radiotherapy in Treating Moderate to Advanced Ovarian Carcinoma and Its Effect on Levels of Serum Carcinoembryonic Antigen and Carbohydrate Antigen 125.

查看英文原题

Efficacy of Modified Qingre Jiedu Decoction Combined with Three-Dimensional Conformal Radiotherapy in Treating Moderate to Advanced Ovarian Carcinoma and Its Effect on Levels of Serum Carcinoembryonic Antigen and Carbohydrate Antigen 125.

PubMed 2022/06/15(内容时间) Evid Based Complement Alternat Med

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研究概要

上述结果表明,联合治疗模式对延长中晚期 OC 患者的生存期有显著作用,并能有效降低肿瘤标志物水平、提高机体免疫力。

中文摘要

探讨改良清热解毒汤联合三维适形放疗(3D-CRT)治疗中晚期卵巢癌(OC)的疗效,以及对患者血清癌胚抗原(CEA)和糖类抗原125(CA125)水平的影响。

回顾性分析2017年2月至2018年2月济南市长清区人民医院妇科收治的84名中晚期OC患者临床资料。按住院编号奇偶数分为单纯化疗组(紫杉醇+卡铂,n=42)和联合组(改良清热解毒汤+3D-CRT,n=42)。通过检测治疗后血清CEA和CA125水平比较两组细胞免疫指标。

治疗后,联合组临床总有效率及1年、2年和3年生存率均显著高于单纯化疗组(P<0.05);CD4+/CD8+比值及NK细胞水平显著较高(P<0.001),血清CA125和CEA水平显著较低(P<0.001),毒副作用总发生率也显著较低(P<0.05)。

上述结果显示,联合治疗可显著延长中晚期OC患者生存,降低肿瘤标志物水平并改善机体免疫功能。进一步研究有助于为OC患者确立更佳治疗方案。

展开英文摘要原文

To explore the efficacy of modified Qingre Jiedu decoction combined with three-dimensional conformal radiotherapy (3D-CRT) in treating moderate to advanced ovarian carcinoma (OC) and its effect on patients' serum carcinoembryonic antigen (CEA) and carbohydrate antigen 125 (CA125).

The clinical data of 84 patients with moderate to advanced OC treated in the gynecology department of Changqing District People's Hospital of Jinan from February 2017 to February 2018 were selected for retrospective analysis, and the patients were divided into the single chemotherapy group (taxol + carboplatin, n = 42) and the combined group (modified Qingre Jiedu decoction+3D-CRT, n = 42) according to the parity of their admission numbers. By measuring their levels of serum CEA and CA125 after treatment, the cellular immune levels of the two groups were compared.

Compared with the single chemotherapy group after treatment, the combined group obtained significantly higher total clinical effective rate and 1-year, 2-year, and 3-year survival rates ( P < 0.05), significantly higher CD4 + /CD8 + and NK cell level values ( P < 0.001), significantly lower serum CA125 and CEA level values ( P < 0.001), and significantly lower total incidence rates of toxic and side effects ( P < 0.05).

The abovementioned results show that the combined treatment modality has a significant effect on prolonging the survival of patients with moderate to advanced OC and can effectively reduce the levels of tumor markers and improve the body's immunity. Further study will be conducive to establishing a better solution for OC patients.

论文信息

作者
Ai S、Xie J
第一作者单位
Department of Gynecology, Changqing District People's Hospital of Jinan, Jinan City 250300, Shandong Province, China.China
通讯作者单位
Medical Imaging Center, Central Hospital Affiliated to Shandong First Medical University, No. 105, Jiefang Road, Jinan City, Shandong 250013, China.China
期刊
Evidence-based complementary and alternative medicine : eCAM2022
原文标识
PubMed 35754698 · DOI 10.1155/2022/1821719